Healthcare Provider Details

I. General information

NPI: 1326200833
Provider Name (Legal Business Name): ANDREAS GEORGE AHLAS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2008
Last Update Date: 08/21/2024
Certification Date: 08/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1430 TRUXTUN AVE STE 400
BAKERSFIELD CA
93301-5220
US

IV. Provider business mailing address

2740 S ELM AVE
FRESNO CA
93706-5435
US

V. Phone/Fax

Practice location:
  • Phone: 559-457-5200
  • Fax: 833-678-2781
Mailing address:
  • Phone: 559-457-5200
  • Fax: 559-457-5296

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License NumberA124942
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: